MEDICARE: SHELTERED HOME HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841952181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELTERED HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	6161 BUSCH BLVD STE 330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2558
Country	:	US
Telephone Number	:	614-396-7356
Fax Number	:	614-368-2045

Provider Business Practice Location Address
First Line	:	6161 BUSCH BLVD STE 330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2558
Country	:	US
Telephone Number	:	614-396-7356
Fax Number	:	614-368-2045

Authorized Official
Title or Position	:	OWNER
Name	:	ABDULLAHI OMAR
Credential	:
Telephone Number	:	614-377-2239

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	09/29/2025

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